Healthcare Provider Details

I. General information

NPI: 1700618337
Provider Name (Legal Business Name): JAHANE HUNSICKER BLEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAHANE HUNSICKER

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 SE 16TH AVE
OCALA FL
34471-4656
US

IV. Provider business mailing address

4500 NEWBERRY RD
GAINESVILLE FL
32607-2245
US

V. Phone/Fax

Practice location:
  • Phone: 352-620-1900
  • Fax:
Mailing address:
  • Phone: 352-541-3017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT42187
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: